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The Coder identifies, collect, assess, monitor, and document claims and encounter coding information as it pertains to Medicare Risk Adjustment and Hierarchical Condition Categories. Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. Review medical record information to identify all appropriate coding based on CMS HCC categories and CMS documentation and Support Guidelines. Support and participate in prospective and retrospective MRA.
Clinical Care is proud to offer the following:
- Career Advancement opportunities
- Comprehensive benefits: Medical, vision, dental, disability. Pay time off and paid holidays
- Life Insurance
- 401(K) with company match
Why we want you?
- Review medical record information to identify all appropriate coding based on CMS categories
- Complete appropriate paperwork/documentation/system entry regarding claim/encounter information
- Provide coding support, education and training related to, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards
- Provide real time support and coordination with Primary Care Providers and Care Coordinators
- Medicare Risk Adjustment (MRA) coding, HEDIS and STARS
- Monitor coding changes to ensure that most current information is available
- Work HCC suspect reports
- Accurately code encounters on a timely basis
- Researching and addressing code questions for multiple provider offices as directed
- Complete MRA reports
- Complies with HIPAA regulations.
- Performs other duties as assigned
Clinical Care Medical Centers provides equal employment opportunity to all applicants and employees. No person is to be discriminated against in any aspect of the employment relationship due to race, religion, color, sex, age, national origin, disability status, genetics, citizenship status, marital status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
Job Type: Full-time
Pay: From $25.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
Experience:
- ICD-10: 1 year (Required)
Work Location: Remote